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CONTACT: Lynda Teer, 215-351-2655 or 800-523-1546, ext. 2655
Trend Toward Hospital-Only Doctors Gets Acceptance and Criticism
Hospitalist Movement Explored From Many Angles
PHILADELPHIA—(Feb. 16, 1999) The most comprehensive exploration to date of the rapidly growing hospitalist movement has been published as a supplement to the February 16, 1999, Annals of Internal Medicine by the American College of Physicians-American Society of Internal Medicine (ACP-ASIM). Of note is the first national survey of hospitalists and their practices.
In eleven articles developed from a December 1997 national policy conference, health educators and policy leaders explore the hospitalist movement, its affect on health care, and its future outlook. Topics include:
- the hospitalist movement and typical hospitalist models,
- is the hospitalist a new medical specialty?,
- how HMOs and health clinics implemented a hospitalist system,
- perspectives of the patient, the internist, and internal medicine, and
- the impact of hospitalists on medical education and the academic health system, and on primary care.
Hospitalists on the mailing list of the National Association of Inpatient Physicians (NAIP) were surveyed for demographic and workload information, financial aspects, and satisfaction with practice. Respondents were young (average age 40), mostly male (81 percent), and primarily internists (89 percent). Overall job satisfaction was high (94 percent).
Supplement editor Robert M. Wachter, MD, of the University of California, San Francisco, said, "The new hospitalist model has generated both passionate advocates and critics. Both sides make legitimate points, but few deny its potential to become a major—if not the major—system for inpatient care in the United States. This Annals supplement brings informed dialogue to the debate."
Annals of Internal Medicine is published by the American College of Physicians-American Society of Internal Medicine (ACP-ASIM), the nation's largest medical specialty organization. ACP, founded in 1915, and ASIM, founded in 1956, merged in July 1998. Membership comprises more than 115,000 internal medicine physicians and medical students. The National Association of Inpatient Physicians (NAIP), a co-sponsor of the supplement, is an affiliate of ACP-ASIM and is the organization representing the nation's hospitalists.
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NOTE TO EDITOR: For a copy of the complete supplement, or for individual articles from it (table of contents attached), please call the ACP-ASIM Communications Department at 215-351-2655 or 800-523-1546, ext. 2655. Also contact us to arrange author interviews or interviews with physicians or patients impacted by the hospitalist movement.
TABLE OF CONTENTS
Annals of Internal Medicine, 16 February 1999
Volume 130/Number 4 (Part 2)
The Hospitalist Movement in the United States
| INTRODUCTION | |
| Foreword R.M. Wachter |
p. 337 |
| An Introduction to the Hospitalist Model R.M. Wachter |
p. 338 |
| HOSPITALISTS AND HOSPITALIST SYSTEMS | |
| Hospitalists and the Practice of Inpatient Medicine: Results of a Survey of the National Association of Inpatient Physicians P.K. Lindenauer, S.Z. Pantilat, P.P. Katz, and R.M. Wachter |
p. 343 |
| The Park Nicollet Experience in Establishing a Hospitalist System R.B. Freese |
p. 350 |
| Implementation of a Hospitalist System in a Large Health Maintenance Organization: The Kaiser Permanente Experience D.E. Craig, L. Hartka, W.H. Likosky, W.M. Caplan, P. Litsky, and J. Smithey |
p. 355 |
| PERSPECTIVES ON THE HOSPITALIST SYSTEM | |
| An Employer's Perspective on Hospitalists as a Source of Improved Health Care Value A. Milstein |
p. 360 |
| The Impact of Hospitalists on Medical Education and the Academic Health System L. Goldman |
p. 364 |
| The Hospitalist Model: Perspectives of the Patient, the Internist and Internal Medicine H.C Sox |
p. 368 |
| The Hospitalist: A New Medical Specialty? M.A. Kelley |
p. 373 |
| FUTURE DIRECTIONS | |
| Evaluating the Impact of Hospitalists J. Showstack, P.P. Katz, and E. Weber |
p. 376 |
| The Hospitalist: New Boon for Internal Medicine or Retreat from Primary Care? S.A. Schroeder and R. Schapiro |
p. 382 |
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